Protecting Today's Child CEF - CPP

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What is the purpose of this policy?*
Are Children's Ministry a Target for predators?*
CEF Voluteers are being entrusted with the lives of the children.*
What is the minimum of adults in a room with children?*
I have read the ABOVE Child Protection Policy in its entirety.*
CONFIDENTIAL SCREENING FORM - Child Evangelism Fellowship® Child Protection Policy

This screening form is to be completed by applicants for any position, paid or volunteer, involving CEF® ministries and will be used to help CEF provide a safe and secure environment for children.This is not an employment application. Anyone interested in employment with CEF will also need to complete an employment application form.
Full Name: *

First NameLast Name
Date*

MonthDayYear
Date
Sex*

MALEFEMALE
Date of Birth*

MonthDayYear
Date
Social Security Number *
This is protected and WILL NOT be shared by ANY PARTY!
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County of Residence *
What CEF Chapter are you with?*
Previous street addresses (for past five years)*
If NONE PUT N/A
Have you ever been convicted of a crime? No Yes (If yes, please explain and give county and state of conviction.)*
IF YES PLEASE EXPLAIN BELOW
(If yes, please explain and give county and state of conviction.)
Have you ever been accused of child abuse?*
IF YES PLEASE EXPLAIN BELOW
IF YES PLEASE EXPLAIN BELOW
(If completing form for five-year rescreening, skip this question.) Please explain briefly your salvation experience.
Is there anything that would call into question your being entrusted with the supervision, guidance and care of children or young people? If yes, please explain.*
(Skip for 5-year rescreening.) References (pastor or church leader, previous employer and personal [not a relative])

First Name   Last Name
Email   Area Code   Phone Number   Church Name   Street Address   Address Line 2   City   State   Zip

First Name   Last Name   Email   Area Code   Phone Number
Church Name   Street Address   Address Line 2   City   State   Zip

First Name   Last Name   Email   Area Code   Phone Number   Street Address   Address Line 2   City   State   Zip   Church Name

First Name   Last Name   Email   Area Code   Phone Number   Church Name   Street Address   Address Line 2   City   State   Zip
Signature of Applicant (Or parent of minor)*

Clear
Print Name*

First NameLast Name
Date*

MonthDayYear
Date
FOR OFFICE USE ONLY - Identity confirmed with government issued photographic identification. * YOU or Your local Director MUST take a picture or your Drivers License to complete the rest of the CPP. YOU must upload the picture below.*

YES
PHOTO ID UPLOAD - REQUIRED*

Cancelof
All information acquired will be used within the Child Evangelism Fellowship organization as it pertains to work with children unless signified otherwise in writing upon completion of this form.
Please return all paperwork to the following address:

Please note: A different form may be required by the reporting agency or state government agency you are using.
Interview Questions and ID Check for All Workers
Why are you interested in being involved in this capacity?*
Share with me any previous experience you have had in working with children.*
Describe any painful life experiences you had as a child/minor which may hinder you from a productive ministry with children.*
Signature*   Date*
First Name*   Last Name*
Street Address*   Address Line 2*   City*   State*   Zip*
Email*   Area Code*   Phone Number*
Church Affiliation*
Should be Empty:

CONFIDENTIAL SCREENING FORM - Child Evangelism Fellowship® Child Protection Policy

Interview Questions and ID Check for All Workers